Organization Active NPI

Javier Archilla OD PA

  • Optometrist
  • Miami, FL
National Provider Identifier
1407387210
Registry record updated Mar 23, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC4896 Issued in FL
Legal business name
JAVIER ARCHILLA OD PA
Practice address
6741 SW 24TH St
Suite 54
Miami, FL 33155-1762
Phone
(305) 262-6272
NPI assigned
Mar 23, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Javier Achilla, OD
Title
Owner
Phone
(305) 262-6272

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X OPC4896 FL Primary

Addresses

Primary practice location

6741 SW 24TH St
Suite 54
Miami, FL 33155-1762

Mailing address

6741 SW 24TH St
Suite 54
Miami, FL 33155-1762
Phone (305) 262-6272

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1490227200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490227200000",
    "number": "1407387210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6741 SW 24TH ST",
            "address_2": "SUITE 54",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331551762",
            "telephone_number": "305-262-6272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6741 SW 24TH ST",
            "address_2": "SUITE 54",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331551762",
            "telephone_number": "305-262-6272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAVIER ARCHILLA OD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-23",
        "last_updated": "2017-03-23",
        "status": "A",
        "authorized_official_last_name": "ACHILLA",
        "authorized_official_first_name": "JAVIER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-262-6272",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC4896",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.